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Home My WebLink AboutTR-5367 -' '-. .r TERMS and CONDmoNS 'The Pemùttee Florence H. ·Kleiss 1500 Leeton Dr., South old residiag It N. 'Y, II part. of the coasidetatioo for the isSo,.1>Ce of the PUmlt does IaoAuIdd .Ad prescribe to the fol- Iowiog: 1. T1w the said Board of Trustees ..,.¡ the Town of ~d are released from any ..,.¡ aU cI.amaga, DC cbims fot cI.amaga, of sWa arisiøg ditectly or ~ .. a ftSU1t of any oper- .doo peáClllDCd parsuaøt to this petmIt, ..,.¡ che laid .... '¡'~e. will, at his DC bee own ø¡-en--. defend any ..,.¡ aU such su/ts·I'1k/·œot by third parties, ..,.¡ the said P....I.\... .......... fa111åbUk.J With reSpect theæto, to the .-.pIete '~MInn of the Board 01. ~ of cbe TOWIi of ~ . . N/A 2. That dJis Petmit is valid fOr apedod of ' mas. wfdch is Q~I¡'ncd to be cbe estimated time·required to coiDpkte the work invoMd, butihoaJd~....... warnør, request for IJJ. eøeasioo may be made to the Board .t a Iaœr daœ. . 3. That this Permit sbould be rct.ioed iodef"fOite1y. or as loøg as the said PermIttee 1risbCs to . ....1....ln the stmcture or ptoject involved, to ptoYide nideoœ to anyoae tobCICtDed that aath- orizotioo .... originally obtaIoed. 4. That che wodciovol-S will be subject to cbe Wr«.1oo aad apprcnaI of cbe Board DC lis ageocs, and ooo-œmpu......with, the provisioos of cbe otIgI....floog appUcadoa, may be øase for ttYOCadoa of this Þumit by redutioo of the said Baud. S. That tbe<e will be no uara.SOOIble Iotedercøœ with aaYigatioo. as . ftSU1t of the 'IIOå: baeIo 1Ùthodzed. . . 6. That there shall be DO Ioterf= wid> the right of cbe public to pass aad RpaSS a1œg the beach between high aad low water maries. . 7. T1w if f11QIre opentioas of the Towo o~ SoutbpId reqaüe cbe.1'CfDO\'Ú aadJor llteradoas in the 1oadoø of cbe work berda ..."""Þ~. or if, in cbe opIaJoa of the BoatiI of Trustees, cbe. wodc sbaU cause unrasoaoble obstrucnoo to free navigadoa. the laid p.-IH..- wII1 be m¡aired, upoo doae oodœ, to temO\'e or dter this work or project baeIo stated wicbouc øpeotts to the Town . of Soulhold.· . . 8. Tbat the said Board w1U be notified by the Pemùttee 01 cbe ~. Of the wodo: aath- oriæd. 9. That the PUmitœe will obtdn aU other permits ..,.¡ coaseø.ts chat may be teqoired sup; p1ementa1 to this permit ,..¡,¡m ma7 be subject to te\'Oke upoa failure to obtain woe. lR-~"-'-- ¡po , ! i> ~ . : f j ~ ! ; ~ ! ¡ ~ ~ j ~ j . , þ. j ¡ ; ~ j ; ~ ; , , ~ , , j ! ~ J ¡ _.~.~ ~ ! . ¡ j ; ; ! ! ¡ ¡ j ¡ ¡ ~ ~ ! ;, .. /' ( . . Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TO\VN OF SOUTHOLD ~ <S ( a(lÓ \'0..'''\ \t.L\ _Coastal Erosion Permit Application _Wetland Permit Application _ Major _ Waiver/ Amendment/Changes _Received Application: !/"Received Fee:$/t::o, aD __Completed Application _Incomplete _SEQRA Classification: Type I_Type II__Unlisted_ _Coordination:(date sent) _CAC Referral Sent: _Date of Inspection: _Receipt ofCAC Report: _Lead Agency Determination: Technical Review: _]ublic Hearing Held: _Resolution Office Use Only Minor Mn I 8- Name of Applicant //O/ZE,.JCE // ßIE/55 Address /6 ¿;;¿) LEEþAJ j)/Z/¡/'¿ / .5'ch~/7.o/cl, /l Y //JZ~ Phone Numbei-{>/q _S7t:. -7of.s-- Suffolk County Tax Map Number: 1000- 17.l?ð" 9 ..s-,y - ,;¡. -'i PropertyLocation:~{Jd J-£¿!rßJ j),.¿/j/.{Ç. .5C/~7'Æ,,¡J , !-,Icc//¿;[/!/O ¡k-Æ./CÞ/ ;&/,/þ'''}'/ //¿/ /fvd t'Vû/j)/C (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: ßo..((t.\ 1'ìu.i:S,S lo3\-46J.-.J.861 (U..) b3( -':¡~t- ì::ïJJ. J · . Board of Trustees Application GENERAL DATA Land Area (in square feet): ft//,z,1 Ý Area Zoning: ;f,ç.>'/dE"u //,d- L //;;.50 Previous use of property: /f'¡ç: ~/d'Eph,4 { Intended use of property: Æ'¡ç: $'/,!e ~h -+ / Prior permits/approvals for site improvements: Agency Date 1 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? LNo_ Yes If yes, provide explanation: Project Description (use attachments if necessary): 7..5 /f,¡Ç r 0 ç /lv/,/:" A~ /,PsH;-/hf ,4/J/ /Mué /://F./ 4toard of Trustees APPlicat~ WETLANDITRUSTEE LANDS APPLICATION DATA I!~/ ¡()'ÐTd h/Z/I?/Y (75 ffE,I-) - /-&/2 .EX'/fh~~ .5/A./c:¡Ç /97/ Purpose of the proposed operations: _square feet Area of wetlands on lot: Percent coverage oflol: % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No / Yes If yes, how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): . . NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: ~/Ó/?E/Jc:.(Ç ßE/iJ SCTM#1000- 'I7i'?g<J ft -2-~ YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: fJ(/S/hWrf .t?H//)E/h::-! 5/~¿:E /97/ 2. That the property which is the subject of Environmental Review-Ís located adjacent to your property and is described as follows: 3. That the project which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code is open to public comment on: You may contact the Trustees Office at 765-1892 or in writing. The above referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. OWNERS NAME: //(P//E"'¡;¿ /<"IÞj.5' MAILING ADDRESS: .lC>.? Sq",,#t?',}-.J - Þ-e /?é;I-¡' P'/lðK, y7 y 1171,,/ PHONE if: (5"/"') 57{" 71P<d- Ene.: Copy of sketch or plan showing proposal for your convenience. s .d of Trustees APPlicatioe .' AUTHORIZATION (where the applicant is not the owner) I, FLoREWCE kL~,ss (print owner of property) residing at .:I¿'=? .5ufYf}vJ</)/ ¡)L (mailing address) ¡J.éj-¡'I'~E, 77 Y 1/7/1 do hereby authorize j]/f/Zæ Y (Agent) ("" ..... IIJE/~..r to apply for permit(s) from the Southold Board of Town Trustees on my behalf. ¿'J /~~,"l-(.L. lçt~ (OWner's signature) 8 ~oard of Trustees APPlicat~ County of Suffolk State of New Yark "Þ'ØdEAI¿C /I /.(/þJ'f BEING DOL Y SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF illS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN TillS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, TI-IEIR AGENT(S) OR REPRESENT A TIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF TillS APPLICATION. oj~~u- f/~ Signature . SWORN TO BEFORE ME TillS DAY OF ,20_ Notary Public '14·~6_.t 12(97)-7~x! 12 I PROJECT 1.0. NUMBE" . . 617,21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I-PROJECT INFORMATION (To be completed by ADplicant or PrOject soonsor) SEG I,. APPLICANT ¡SPONSOR /"/M(¡'NC,ç J, PROJECT LOCATION: Municipality 5' Ot/#.. ¿PIc! C,Junty ,5 4" ~ ~ /"..(' .t, PAEC:SE lOCATION {Street aaaress ana road InterSeCtions, prominent landmarKS, ~!c., ::Ir orovlce ,"TIaa, //. /,f/E/ j .5 I 2 PROJEC-;- NAME ¿fu / /éA~'7J-~ /500 LEEkN ÞÆ./¡/~ 5'cJl/n"",lcI 5. IS PROPOSED ACTION: o New 0 Expansion 6. DESCRIBE PROJECT BAIE:=LY: 7fw/ o Moaification/aJteration /97/ Ex / 5/,"''(; ..5> AI ¿ ¿Ç c:>"c 4~1 /<"Á-=71z::/ ¡9Nd' ,d',tfc.K h//Ed AMOUNT OF l...ANo .~FFECTED: Imtlally ()ø :1 r acres Ultimately acr~s 3. 'nl~:...ßAO?0SEiJ ,.\C-;-¡ON COMPLY 'NITH :;:;OSTING ,:ONlrJG OR OTHER EXIST¡NG '-A,'W USe:: :::¡E3Ti=1IC7iGNS? i)2'Yes [J No If ~o, cescõlbe brl~fly :1. 'NHA ys ?RESE.NT lA~.:2 'Æ~ IN '/ICINITY ,:)F ?ROJECT" ~~eS¡dan!iat LJ.lnaustnal ~ ,':;.)mmerclãl !Jesc~!be: [J Agnculture ~ P3(11:1ForestJOoen S03ce i-.,; Other iO. DOES ,.\CTlQN INVOLVE A PEP-MIT ,.\PPROVAl. OR FUND!rJG, ,\lOW OR ULTlMA7'ELY FROM ANY OTHER GOVEFlNMENTAL AGENCY (F::iJERAL, SrATE Gn LOCAL)~/ o Yes ~NO If yes, list ¡1gencY(SI and permit/approvals .-- 11. DOES ANY A.~§.ÇT OF THE ACT¡Qf..¡ HAVE A CURRENTLY VAUo PERMIT OR APCROVAL? o Yes' ~~o If y~s, list agency name ano permIt/approval 12. ..1,S A RESULT ~ ~POSEiJ ACTION WILL ~XISTING PERMIT/APP'ìOVAl ,::¡EOUIRE \.10oIFICATICN? DYes ~o __. I CEilTIF'f THA T THE INFORMA nON PROVIDED ABOVE IS TRUE -0 THE 3ESï OF ~1Y KNCWl:::CûE Slgna!ure: (?i~,"<-L /'l't:?/2ENC-f I/. tL 1-</ //1'£/55' Doi!e: /77>l/f)' ,<,(/,7/ Applicant/sponsor ,lame: If the action is in the COi2stal Area. and 'Iou are a state ac;ency, complete the Coastal Assessment Form betore proceeding with this a~iiessment OVER , . . PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK , residing at , being duly sworn, deposes and says that on the day of ,19, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names¡ that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold¡ that said Notices were mailed at the United States Post Office at , that said Notices were mailed to each of said persons by (certified) (registered) mail. Sworn to before me this day of ,19 Notary Public . . Print or Type: TOWN OF SOUTHOLD HIGHWAY DEPARTMENT PECONIC LANE PECONIC, NEW YORK 11958 lOffice use only File #: Permit #: PERMIT & BOND APPLICATION FOR ACCESS THROUGH TOWN OWNED PROPERTY 1 ) ;:::-/O/2E,lf/cE ¡/. k/f/Ú (Name of Applicant) /5P& LeEk-..J Þøv.,c, '::~/4ðI4 , /1171 (Address) 2) 3) (Name & Address of Contractor Involved) IsocJ LFFh»; D/l¡vE¡ 5&)""//.014 (Project Location) lEEIo.-J ,D/l¡vt (Name of Road or Town Property . J1E/2/f7lf /ó/l EJf/51-INS (Brief Job Description) ~ 1000-~T~ S-~-~-~ (S.C. T .M. #) S"oø/tølef Involved) (Hamlet) 4) 5) jJ«/A:'A~ J/A/c¡Ç /971 6) Startin9 Date: 7'1#j 1'17/ Comp 1 et ion Dat e: ?11#}' /97/ 7) Estimated Cost of Proposed Work: 8) Insurance Coverage: A. The coverage required to be extended to the Town: Bodily injury & Property Damage; $300,000/$500,000 Bodily Injury & $50,000 Property Damage B. Insurance Company: C. Insurance Agent Name & Telephone # D. E, Policy # : State whether policy or certification is on file with the Highway Department: (If no, Provide a copy with Application) ,ýO (yes/no) o~U- ~ (Signature of Applicant) - /7 1'1/1y ~&'(?I (Dat e 5 ------------------------------------------------------------------ To be completed by the Superintendent of Highways: Bond Amount Required: (Signature) "'.' '." c 'J I ~ ? ~ ) ElevafÓOt-t l'efeY's -+0 trr_" SelIC:( Is_t. Suff. Co.ïaJC Maþ No.: fOOO-058-Z-"'. - -',.- '.--, -.,..~..,¡. c,p-'~"~ "'1:' . _ ...J.........._. -'P:> _: ":,.'.:'......, ~ . ~ . . ;',:':'1" ..-. ~ ~~ ...'. ~~ ~-~ .., .'j. ,.j · 'j · ~ '-. ~- -~ ..ï . , I , .'. -1 ..:t"'...."-. .' ., Flood _~ . FtooJ . Zbtte V-8 .. ~ A-:8 . .~. ! \ I o .~ ~ ~ '\: " '\: " '~ '~ .:sul""vey~d -Sepr, 16.;197'5 RODI!ó.:::::'I,;¡'¿ V,Þ,J-./ tUY'-J PC, e, V 0- r -;:þQ L I <= ~ ," ""~ J L.ðnd ~':;I.Jr-'/CY<7r--s ûr-~~r':F':''''r') Î", y. .. .- -. ',-¡ . S-rA I~-'-O ,...., II t. ) I () 1 ~ . :"\ " .. <. 't . '. 'fj , '0 - i. <) .J .,. S.i.4,-'1 ~ ::-''f' ::!iC 's::. - 158' \ - ->I \ r--- z:!( ~ \ J i ~ fico... \ ... _ t - alev. I_??, 'ij. ~ :( I .s tv"" ~rOCJnd "úw. e.! .~, 1 '~~~' ~ t~'::... / T.. ~ \~ _ !O :~ . r J "'\ - .-,-;¡' l-' ',;: ,to --æ ·\r :0' :; ~ ~. -f~~rt~ N ,;:...~:t..r::] ,,' ~.r,t ""f 4- " ::: 4-' :; ,:;" """ - ..49 . VV.t.(¡-r:: I I I £".U'I":TUr:o .·,L':'~;;'· 111m co: "..c,;;m;Q", . ,:w.ô ~...~·.~r ¡:; .... "i::--~ .1':'1' .:)r ~'ON T2vil OF nt~ ~I~"'" ":"Jr.,( :>T....n: ~u:.Ar.op.- LA. W. C:OfIES OF T~IS SL;R.V~Y f,.!AP wer BE'\J.I~ l)iE L,''':~ ~~:~.:["::~':: I;' ~~') ,::.,L ~'"; eMðC:,:;~~ SEAL :)HA:"" ,":'::T .:.i CC,'~:):i)fT'.fD 10 SE A VA~;D -:-';'U: ('::Ii"f. c U...¡....NTE::; ¡Nr::,C.q::. :'._::':~'" SP'I.LL RUN ONLY TO !;':f Í't;,!Ç,~ fC~ "',:OM T¡if $\,I:I;Vf( Iô PREPAftEO, A...:.. ,:,.j r.: -~:;,.I.L: T'J 'PIt! JlTLE CO,;l.PAN'i, .-==O"'~!\;~;A¡;~ï¡"L ~Y ANr. lENDING ~NsT;ruT1m; LIS ;~::;) ri~, AND ';'0 THE A~ICNE.:S Of THE LEND~ 'NlTt· "'U110N. GUAIAHTUS "'¡; Ho:T TRAN5I'IRAal.. '0 ADDnlOt&A:L I'4STITVTIVNS ot SUIHQUtN' oW1'OEll5j ,Vf,.:'jP ::;;;;:,];"qOps.o-q-rr . .:.?:-: (Ç'V'.sJ;y.17"C" i:''''Oj; GL¡S'T~V k:LE¡SS ------------_.~ ----.--- tc>T SOV-rHOLD NEW Yo~K. . ..5::-~ It!. 40/=/.'/ 4merrcJed Ma'12/. 198Q WY 8 .. = /,...:>,-, p;,oè- .- ..- -_._._---~ "',"""'"-_..........,,,,, ,t ' . h~ ~I< !... . iX Ii'" t t l 1-.... . '-II;.. !~ . I' ~ ø" ..-; ...')- ,.p i'" {' fl.: I;) ~ \.; t'- ~ . ...-'" ~~ ',,", ., . I., to ¡--ell¡ oS> ' DOl· ..... I , , i I ¡- w >- ..... it: Q :( R: " \.ij tu '" -. .-, ,:.: ,:., \. . I I ':1 ' I· ' f' ¡' ! I , --'!'w-~ , ._~- ~ .'. ...'] J'},4 'tJ '. "1 · r , , , ¡ ! I , ., I .¡ . -' ~ I , ~t j ~'- ::.! 1 t j !~ I . I . . Albert J. Krupski. President James King. Vu:e-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765·1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: ":::fl~n o. 1', HUlA:V Please be advised that your applic.ation, dated .5/18/01 has been reviewed by this Board, at the regular meeting of hIJJ/CŸ and the following action was taken: ( ~) Application Approved (see below) (____) Application Denied (____) Application Tabled (see below) (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in the instruction sheet. The following fee must be paid within 90 days or re-application tees will be necessary. COMPUTATION OF PERMIT FEES: ..Jt/(){J, (X) a.fP 1.1 ¿'o ÜJyù "7 JlA- ~ ~and.-!JadU1 fu tn d TOTAL FEES DUE: $ 100, Of) tltAc·" /J I~- Jl41.: 9· SIGNED: . y. ,c",,,,, - , PRESIDENT, BOARD OF TRUSTEES _."'..---.-------- --..--" . r-'" f.'1 -0'" '. ,. r. ~ ~, . ~,- t~ ~ : _:: ! '. BY: ~Q..u,u#) J-:tzcrÖ.4J ~ ~kK, BOARD OF TRUSTEES JIJL I 0 2001 ~ .~ ~k~/~~/J~ UJ~ ~~ t{./¡;r.--~-(K::I-l L/ //AA/.. ;;/ ~' -rZ£¿¿~ ~ ¡J / t/V 'M tV; /(-A -' ,~~~-#~ .' -- . . Albert J. Krupski. President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold. New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: '4¿@U.(}C¿ Ii- f1Úl.ð~ Please be advised that your application, dated 5118 JO I has been reviewed by this Board, at the regular meetinq of ftJ!:;J..1/CI and the following action was taken: ( ~) Application Approved (see below) (____) Application Denied <____) Application Tabled (see below) (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in the instruction sheet, ~he following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: ...It/O{Jr (X) a.¡p I.J. ;'0 túYù -7 fl.P- - ~aYltJ-l;adu fu Itldr TOTAL FEES DUE: $ ¡OC).OD {Ù/. (-I /1 dL ,114-1.., 9· SIGNED: y. /'Cot.- I .. , PRESIDENT, BOARD OF TRUSTEES BY: /¥'JQ..uuF¡ .....JùariI4J Po 4a:;f(ù¿, BOARD OF TRUSTEES .. . ~--""'"'-' -. ~- - o' -~_. ~ ~ _ _d:_'.~t",,- c '- ~ . NOTICE . Police Dept. - Bay Constable Town of Southold Peconic, New York 11958 r-.... -"'-.- -~- , APR I 3 0, NOTICE OF VIOLATION L -.J Date: ",-/1--0/ To: F'loI"e!!cf: l~leis"; (Owner or authorized agent of owner) Address: ::/)] S1J.iìclowr :'r. ~pthpage \r.'ì.. l17U+ (Address of owner or authorized agent of owner) Please take notice there exists a violation of the Code of the Town of Southold, Chapter 97 Article II, Section 97-20 a premises hereinafter described in that thE' pr':': I.A,- iSt-Lr1f: bulkh:~..,d c;I,-,e,,; ¡;t~f ~11.-.le Ii pe.!"mitt You are therefore directed and ordered to comply with the following: ~':;:; L',' ~_C,l '" 1Jc...r~'LLtt for ~h~ existi]1~ bul~il~:ad. on or before the 3 ~ day of ',AY ,20.!L-. The premises to which this Notice of Violation refers are situated at: ~~<H, ;.,...~~t"-Ir" IJr. ')\)Uth01d >1. Y. Town of Southold, Suffolk County, NY (Suffolk County Tax Map Designation: Dist. 1000 Section: S., Block: Lot: , ~ ) Failure to comply with the applicable provisions of the law may constitute an offense punishable by fine or imprisonment or both. NOTICE: You have the right to apply for a hearing before the Board of Trustees of the Town of Southold, provided that you file a written request with the Clerk of the Trustees within 10 days after service of the Notice of Violation. Such request shall have annexed thereto a copy of the Notice of Violation upon which a Hearing is requested and shall set forth the reasons why such notice of viola- tion should be modified or rescinded. ß.. / /,r""'( J./:;> / / "-, .IF -. J Ä'~~i:;::~l~, ;¡!øf~~U~~d, NY I 'ç~~""J.~ // :;G~ I '';~''"'' I I~ov 1/3 I ~I I'~·;;;,i. ~ I' 0"' N~-y.;- /.ç'J 1<7 í l~ 1<J. ....0 Ong \ ,. c,~ NO. "III' 0 '"'a oi-3:1.../3 ~ 1~~'·1;.71/.1 \'.'""d'O<"O 10/ I" "m, .,. RepOrt Day New York. State INCIDENT REPORT I;r I~~'; /3 ¡Ç.' .... Z ~ o v æ 16. InCident rype ~"...¡~... -;:~I''''L''¡'".J", 19_ 1"I(lde...t Addreu (Stree! No. Street Nclme. 91dg NO. .J,ct ';0) /~Q'O L..c+-Q..... ¿ 22. OFF. NO. LAW SECTION SUB CL 17 !lu\lne~~Name 18.WeapO"'\) CAT DEG AiT I", Š~':').t~ /:/ NAME OF OFFENSE 0"' I'~;:;;ÿ en 1.3 No. ðf Victlf"~ , J 1:4. NO. of Su~cu 25.Penon Type;CO.. Complamant QT "'Other PI "'Pel'\On l"t~lewed Pft "Perwfl Reøortlng VI/t-WitnessNI_Notlnt_ieweaVI "VIctim TYPE/NO NAME (LAST, FIRST, MIDDLE. nTlE) Date of STREET NO.. STREET NAME. BLDG. NO.. APT. NO., on, STATe. lIirth f l6l.tictlmal~coll'lplainaflt OVQH OP Telephone NO. ~ Z o ~ ~("O o ~ AI, kLe ¡'S.s v o ~ ~ C 7~<'-;:~f J-.. ~<"¡,.",,< ~,:-..... ~/ .t{,~--+I.-" /,/ 01.-. Ae'¡L~,p! /./" - /. G. n~ ~]¡.., . "~y<,-- ~-"L ,/ÍO/"vt<:"- 'S:.....-/:7__......... J.,(,,j ~ ~ v > In R~,de'n<e)tac"\.oremp Re1i.-Fore'9" Nat. a R~"::Ient 8 TOuflU 0 S(udent n Other Commuter MIlitary 0 Home!;u 0 unl( 137. "pØarel'ltr:ond.tlon o Impa"ed Drugs 0 Mental D,s 0 unk o Imp.mf!'dJ.ico 0 I"JIIII 0 AppNorrn I ]9 phone NO. 140 >O(,al Se<:unty NO o Home o Nor. .u. Race ¡45ofthr'" 1.3;6 Skm 1..17 Occupation o WhIte 0 1Irack 0 Other 0 Hispanic 0 Unk. CJ L.gln 0 DH~ C un~. o 11'10111(\ 0 ASIan 0 Un 1(. 0 Non·Hispaf1lc 0 Med'um 0 OCMer ')2 Glasses 5] Build I SA Employer/SchoOl 15; ':;'.;jro;!s> o Yes [j Contacts 0 Sman 0 Large o NO 0 M~II..m 27. Date of Birth I 30. Race 131. EthnIC 132. HanQi~ðP o WhIte 0 Black 0 Other 0 ~Ispan¡c 0 Unk. 0 Yes o Indlð" 0 Asian 0 Unk. 0 NO"-Hlspanic 0 NO I 3. A>;..Ni""m"""d.n N,m. (L,,'. Fi~" M,ad'" 2B.Age I 29 Se_ OM 0 F OU ".',,'","0 I 35. N,m. (L.". F;~,. ",..", 38. Address (Street No., Str~t Name. Bldg. NO. .10(. No. (jty, Stne, lip) z o ~ '" ~ .. ...0 V~ ~~ ..~ "'''' :>'" ~C ì3 z ¡;; ~ :¡ I 48. He'g/"l[ I J9.Welght I ",.. OM 0 F ou 110. M'" I" 'Ve< 41 Dateotg,"/1 I '>Ag. 56. 5car~: MarksfTanoos (Desa'tle) 57 M,sc. sa. Victl/'l'l or SU$~NO. Pr~rty StõJ(\,,, Mod!!! Sen". No. Prope1"ty r",. QUoIntlty' Measure Makeo. Oru(ry~ D~,r'Pt'c" Value >- .... '" ~ .. o '" .. ~ ... V ;: ~ :> 71 TOwed6'1' ra: \63 Plate Type I ó4 Value I " VI" 1'2. 'Jeh'c!eNotes F"IIOI" PHt1alD I" ,'."", 65 Vel'l. YI' 66.Ma~e \62 E.p. Yr. I" ,'V" 60. License PIJtt No State 59. veniere Status 70.Color(5) T]. ;;;;.-: ~ "'~ ~ 'r ~ .."'/"'........ ';.¿"".,.. ,.<b /.///7/".1,,,,,,,- .;/ /:1'.., '-r ,.A/b A&--r~-'¡ c CO;'" '",. / ~.6.;t~ <'_ ",;~,h.,t',~~ <f./ ?"?_ ,..?",,,.... . __ J' A~/A'¿,~/ ?" h..._../ ....~ ;--,<:.'~'¡',... /' ~~,-~ "77".... '" ~ :> ;= C '" .. < '" ';?¿ïL""¡';;:O'£ -r".... ~_<,¿_.'( ... ,'// ~< ':r_.I -r", ;C'/"'/"'-~J- /"e___;-# ,..;, ~(..... A",/r-¡«..d' A./' -I. co ~ ;:7{: -/,,/,'l ."..¡. -r¿ t//~/r-/' ~........... ...,c""-=,/ ~ ..... ~/'" ,'S' 5 ~ w 74.lnqurles (Ched: all tttat apply) 175 NYSPrN Meu.age No ~ 0 DMV 0 WantIWarrant 0 SCoHlð.... ~ 0 Crm. History 0 StOle1'l Property 0 Other ~ l!:7 ,(ing~~SI!i1nat~r dudZ" I 7810NO 79.Supen/lsor'sSignðture(lncludeFl.ðflk) I go.IONO z: -- ..¿."JC _ /5 c ~..s i- . Status n crosed(JfClo~.C"l!(kbo.below) OUflfounded 1t/"·'y,.tðtU1,¡o'3'" lo.".;18J. NoufiedfTOT ~ OVlct. Refused to COOp. o Arr\!'S( OPrOS.O«lmec! OwarrantAdlt1sed .. -, oC81 oJuv, -No Custody o AU\!'St ·Juv o Offer-derOead OfJltrdd.Oe<:hfl OUnkflo....n DCJS-320S (2/97) "FALSE STATEMENTS ARE PUNISHABLE AS A CRIME, PURSUANT TO THE NEW YORK STATE PENAL LAW. 76. COl'l'lpllma'U Sigfl.ature ~ . c. Ÿ'~ H I I 1 i i I I ; I 01' [J o [] D GJ [J GJ GJ GJ GJ EJ EI K. c. M .. - B Î ~",.... sheet ... / t',Ige 1 Pages .',.'C",','im . . New York State Department of Environmental Conservation Building 40-SUNY. Stony Brook, New York 11194 Regulatory AfEairs (516) 751-7900 -. .. ~ ~ . ~.. .' NO PERMIT NECESSARl - TIDAL WETLANDS ACT Thomas C. Jorllng Commlsslonsr ~ _ -=r: ¡¿¿;.- -iuz;?-- j) ~1Æ .i.v~ 11- ;!J/9:t/ Date; dJ.;z..;:{ J /'1"9'ð Appl ication No. /-ý'1..18' -oò::&.lÆoQ-'</-ð Locaticn: -;:;1,,;4-. ,,0-,-./ SCT/'{ /¢o.....J,;p..;q .l._d~ 71-/ :'e.=. r -;?nv.J.. ~ .- iJ·~e" ~ ;£;L;'~~~:f:z; -í 1,,7,'- «7_ ~ seT/""! /t~'"è -<;..F.?- ~ -5-- <:J¿.ca. ~ 4-,'~ /" ~ a..f ~~r- /J>~./ ; ..I t.~ ')/ tÞ->- 'J~ ~ ~~ /! I 19'7f": S~~ed G~ (he information you !lave submitted, the New York State uê,)2.r:mc,"ë ~: '::n", ronmer1tal Cûnservation has determined that the project is lis:2~ C~ P~rt 661,5 oE 6NYCRR (Tiãal Wetlands Land Use Regulations) 6S a US2 ~~c cequiring a permit or notiEic3tion letter of approval. ~her2~~re, ~~ ~ermit is required ur1der the Tidal Wetlands Act (Article 25 __J_ '::.:-.ë Eri':':' rC!"Fnental ,=ol1ser~Jation Law). PledSê ~ote that any additional work, 23 d~S2ri8ed. ma~' require authorizatj~n by ~~2~ th~S cf~ice if such are contemplated. or modification to the project this Department, please con- . > 21e¿32 be further aàvised that this letter does not relieve you of ~he res?cnsibility oE obtaining any necessary permits or approvals from other a,~2;\,::i2S. very truly yours, S~~<::~ ~ è!..Q: j~"2. t+.J?~.;"f.:..e- ß~ ~A~\' Q ,. 't :Þ .~ .' - " " r"!"cU."",,?". "",,·"N. . ~, :''''''r.r-··~-·-''- ~, . F',-.,'"".·...~'.,',-:-",,,·, ~.V.:_~:-~.:'-~<·"· . ':·r:'·~ë':""."''!''''~ ,,..,,.,-.,.;,,-: CONTRACT . . .'-: '- -n~:..; "51 '':''~ .~.~..' . , - . 'JAM" 'E'S" 'N" ":RAM' øÔ'il'N""'C', ~~~r'::I'; .t:~:: :,,;'.;;:' / . ,.<1 ',' ~ . 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";' .,:7".:;7' ~,,'v.."'. r'~~Ö;;1~.t!I1!:1'~ Iìù-..." . . ,.~ The party at the first pCII:l.!iåreby; agrees 10- bulkhead. l..!!!.....:...!:..Jeet for the sum, of $......_._....... ...... ..... . r~ ";1· ". '. . . ':':'~'..... '"õ .....t.. " ..'I':'''''.n',·u ",,J". ..?'-.:JIe.. . .....: ..;;. ...,~. .:.., /'1;'1~1.:'·~ ~ ." .i!.,pertunmng/oOL,filland.grad8utra..>;·:,:''',..·,,·':,:;:_'I'-:"I,.!,..:;;¡.·..7ð.....'. .,..,.:,. .~.,..""", ,¡.'"~''' '!:j !'r.,,'j..1I,;..:.,,;,.... ::::.>:·,.~:~...~:"r'··.'; ..~'.1.~~¡!;::~?~..~.·L ~1,J;~1'~j"oI.· -. o1~'t~J.:.",.¡:~:~¡~ ->r:' '#·.'·I':··;.·r.'·'~~"'"":"··¡'~The arty:·olth.·' ..:.....;..,.,;' artl"l~·~· .~~".~P~ .. ·¡"'.;J·...lla...·~.:.· ~~4:r!':fo,'· . ~ ". '~':'. "¡ ,. . . p e,.sec"'.....P _,~~_ J;¡9.y;......_....~1!:._:~:.__.._._~_....n...:.:.'.._"!lpan' u.e,!llQIllITr;¡' odDur -, " . .' .~'''...' .t· ',' to:: .... ',.... .."'...'.tI:.,.,..'II".........e.I....~..t' .-..... "I~....... ,'. ..~:'''~.a.l'''''..I..,_.·o(;tI~J¡O'!ïo-~:.<O':..·· .:;'~'''''' ag..,"'nenrandthebalance~CClmp...tiOn;ot¡uaawac '~~~:)ii"" .. :.;,..q ,..." . " ,. "N ',. f~~·¡,<?t:~ :".' :, ~'~~;!ti~~~¡3"'!:~~'" ',;~i*"Û ~;.~'~:'~,';f~~.,..,.: '~1~1,~§~' ")'t.:"\f~~..;. ,,-:~,:/ ~~-:--";."::.~':~(;:"'~'ìtll,lfi.;- It'! '. ~ .':' < :';;':'~'!:\ ";" OF·.1!1e" , ave'fieceuntoset the!r handsaridséãTs- lhis-.::..:.:.:~..;J!:áair.ot':,~~~ î ~. '" . .J~~.'1 i' ....... 'ot'. ...... '....... :""~;t:.:'¡.': ~'J:.w"t~I""'~'1';..t1: .,,' ·.1. - :"I~,. - ,!,e~':"''ø 'j' :',: . .... . '":... .....~....7":-....:....... ....:..........:...::..:.:..,.~.:...::.:..."".: 19.:~....~;..~:._: ~.: #':"'; ..~ ¡,:. ....~; . . o~;.. :".~ ~. '. . .... .~,. ...... .: .,!.. ,"'...':.~~.. - .~~;. .:t' ,'" . ......~ ... ... "'"....~. ...~.........~..,.~~.(....~:'ti""'- ~:t'r:.. .., ....... ........-. ". '........--....r-..... ,... !.(i. ·"'·1·- ." .... ..:. : ".'... ··....·...",)r·~.~·r·r... 'i.~~·J,....."::..1.':~.·.,..· ...... ·r· . - 4. 1',_1 ',;""" . :,.,. ... ..:-0.', .:: :.'. .. ,.¡..::<j'.. ..: ''õ, . ·.f.·: ,.. ..'~I''''' ·i""· ":;.~"" ~ .,~..:.~ '.. "'JAMES II. RAMBO. mcr·' . ... 't....,.. \iJ;¡;;:;;.¡~1O¡,;:t4~.t~,,(,.,.t,.··, ,'·;';.t·. '. '..' .. '.. ' :::';¡,,;¡ti.:. .................._................................ ..m.........(L. S,) , " .' . ';-!,¡ '-'"I.'~.' ._ '. ' ~ i i,......... .. - '0:..' " .. , . . + Bulkheading , ~}l'::;..;.:~,D~edging >,:;; '.' ·.;;c·~_·:,'.' ~", ,": . .;' crane & :frac:tor Work '. ., '", Doc:ks ~;t . t'.. ~ .: .'·:ãetties . .. .~- ¡. ì" ~. ! ~. ~. Æ': .. ~".' .. ~ '~!,,;j.' .~::- r i' .' " ¡ " -..,. ".-. " --..,.-. c f: ..... ......·c....... By.... ....................................................--- ..-.............. ..................... ............-.......-.... .. .....1.... ....(L. S.) r -. ,